Stacy Goody, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9479555 Issued in FL

Practice address

2824 Mahan Dr Ste 1
Tallahassee, FL 32308-5429

Phone

(850) 558-1260

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1477913846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 MAHAN DR STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085429",
            "telephone_number": "850-558-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 MAHAN DR STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085429",
            "telephone_number": "850-558-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODY",
        "first_name": "STACY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9479555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP9479555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Jean Goodpasture, ARNP
• Wanda Frances Goodreau, DMD
• Angela Goodson, RN, IBCLC
• Gracelyn J. Goodwin, COTA/L
• Jade Goodwin
• Kartik Gopal, PA
• Jorge Konstantin Gorb, O.D.
• Edward Gordon Jr.
• Estella Gordon
• Shaniqua Rasheda Gordon, MRC

• Adult Health Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.